PUTNAM NEUROLOGY GROUP, INC.
Medical Practice in Palatka, FL

License number
Florida ME108923
Category
Medical Practice
Type
Specialist
Owner
Name: DR. FAWZI YOUSEF ELSAGGA M.D.
Title: PRESIDENT
Phone: (386) 385-3043
Address
Address
800 Zeagler Dr Suite #230, Palatka, FL 32177
National Provider ID: 1346647435
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PUTNAM NEUROLOGY GROUP, INC

800 Zeagler Dr SUITE #230, Palatka, FL 32177

Registration:
Nov 20, 2014
State ID:
P14000094523
Business type:
Florida Profit Corporation
President:
Fawzi Y Elsagga (President), 800 Zeagler Dr SUITE #230, Palatka, FL 32177 (Physical)
Agent:
Fawzi Elsagga,800 Zeagler Dr SUITE #230, Palatka, FL 32177 (Physical)
EIN:
47-2398815

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